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无创正压通气技术有两种工作方式:持续气道正压通气(CPAP)和双水平正压通气(BiPAP).本文主要介绍BiPAP在治疗急性肺水肿中的应用.多项研究表明,在充分使用药物治疗心源性肺水肿的基础上,合用BiPAP后可使肺水肿和心功能的迅速改善,同时可减少气管插管发生率,减少有创机械通气的并发症,并对心衰继发的急性肺损伤有明确的疗效.但BiPAP是否适用于急性心梗引起的肺水肿尚无定论.
Noninvasive positive pressure ventilation has two modes of operation: continuous positive airway pressure (CPAP) and bipolar positive airway pressure (BiPAP) .This article describes the application of BiPAP in the treatment of acute pulmonary edema.Many studies have shown that, in the full The use of drugs for cardiogenic pulmonary edema, based on the combination of BiPAP pulmonary edema and heart function can be rapidly improved, while reducing the incidence of tracheal intubation and reduce invasive mechanical ventilation complications, and secondary to heart failure Of acute lung injury have a clear effect.However, whether BiPAP is suitable for pulmonary edema caused by acute myocardial infarction is inconclusive.